|abstract ||Surgical training in the Netherlands has traditionally
been characterized by learning on the job under the
classic master-trainee doctrine. Over the past decades, it
has become regionally organized with intensive structural
training courses, and a peer-based quality control system.
Recently, the nationwide programme has been modernized
further and now involves a systematic, competency-based
education with structural training courses, formalized
assessment and room for reflection by residents under the
supervision of surgical teaching groups. To this end, a
uniform web-based digital portfolio is being introduced to
facilitate monitoring of the individual resident’s progress.
Though requiring inspirational leadership, commitment,
and determination, this modernization has sparked enthusiasm
among trainees and teachers.|